05-5030 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
% 5.-00005,030-��
Property Address:
57715`COR MOUNTAIN CT
APN:
762-440-033- -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
14940
Applicant:
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profes 'o Is Code, and my License is in full force and effect.
License CI ssuB C27 cense No.: 442390
=ale
1 1, ContTactor:�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my employees with wages as their'sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ I I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/14/05
Owner:
BAUMANN BRUCE R
41750 RANCHO LAS PALMAS
RANCHO MIRAGE, CA 92270
Contractor:
HOMME CONSTRUCTION COMPANY INC
P O BOX 258
PALM DESERT, CA 92261
(760)346-3647
Lic. No.: 442390
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1769404
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subje to the workers' compensation laws of California,
and agree that, if I should become subjec to a workers' compensation provisions of Section
10 of the Labor Co e, (;hll r ith ply with those provisions.
t5Dat a \� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is orrect. I agree to comply with all
city and count ordinances and state laws relating to building cons t , an ereby authorize representatives
of this county to enter upon the above-mentioned property f in p _ S.
Application Number . . . . . 05-00005030
Permit. . . . WALL/FENCE
PERMIT
Additional desc . .
Permit Fee . . . . 162.00
Plan Check
Fee
00
Issue Date . . . .
Valuation
. . .
. 14940
Expiration Date 5/13/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
13.00 9.0000 THOU BLDG
2,001-25,000
117.00
----------------------------------------------------------------------------
Special Notes and Comments
480 6' BLOCK WALL PER CITY STANDARD/40
LF 6' RETAINING WALL PER ORCO
STANDARD/90 LF 3' RETAINING WALL
PER
ORCO. ALL PER APPROVED PLANS.
Fee summary Charged
----------
Paid
Credited
Due
---------------------------
Permit Fee Total 162.00
----------
.00
----------
.00
162.00
Plan Check Total .00
.00
.00
.00
Grand Total 162.00
.00
.00
162.00
LQPERMIT
Bin #
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La-Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: IS Co M NT 1 n1. Co rN
Owner's Name:
A. P. Number: -7 6-L- 4 L+D ,p -
Address:
Legal Description:
City, ST, Zip:,�(,
Contractor: C)r� _ NS 1 _
Address: Q ((P\tvCMO (�S (�(a�
Telephone: �
Project Description: L .
�S
City, ST, Zip: 1 V `t\3(>o 'I `\kA6— CA- i-nw)
`(�y \ ' �
1, I 12 VJA t-1.�7 ,. (.
Telephone: 3 L4 � - ` �
i
i ® YA).► IN G WA LLS
q
State Lie. # : 4� L
City Lic. #: /U s9 Lt
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
Project type (circle one):ew Add'n Alter Repair Demo
State Lie. #:
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: -16 S 3
Estimated Value of Project. Q C)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Rec'd
TRACKING.
Plan Check submitted
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for correctionstiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
S,
11/09/2005 09:47 7603400789 BBAUMANN DDS PAGE 01
Nov 06 06 05:311, Beety Pacific Develo Tent (7601-937-9599 p.1
A� P
/// V4/IVVJ ♦V. � .DV JM V\r,V% u�Iwi•w .• r..�
November 7. 2005
Michael Homme
Homme Consummion
P.O. Box 258
palmi Desert, CA 92261.0258
Deal Mr. Homme:
We understand you will be constructing a common well between our two properties, and
that well will be placed directly on the property line. We will share SWSO in tete cost of
construction of said will, As owners of Lot VM .79963 (Bruce Baumann) and Lot
2M 29%3 (Tom Bratty) we authorize eonstntction of such common wall.
Sinceroiy. 'f
L
Bruoe R Baummm, CDS
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